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A 53-year-old woman presented at the emergency department with stab wounds on the epigastrium and left posterior chest with a retained knife. The patient was in a right lateral decubitus position and this posed a greater risk to performing an effective physical examination. In a situation like this, the standard Advanced Trauma Life Support (ATLS) approach may be limited with errors in physical examination and monitoring of the patient. Management of this care process and treatment in this position proved challenging.
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